What Makes the “Perfect” Inpatient Consultation? A Qualitative Analysis of Resident and Fellow Perspectives
Bibliographic Data
| ID | 21614549 |
|---|---|
| Authors | Sara Pavitt (0000-0002-6822-3118, is a child neurology resident, Department of Neurology, Stanford School of Medicine, Palo Alto, California., corresponding author), Alyssa L Bogetz (Twitter (United States)), Alyssa Bogetz (is associate program director of the pediatric residency program, Department of Pediatrics, Stanford School of Medicine, Palo Alto, California.), Rebecca Blankenburg (0000-0002-1938-6113, is program director and associate chair of education, Department of Pediatrics, Stanford School of Medicine, Palo Alto, California.) |
| Year | 2020 |
| Volume | 95 |
| Issue | 1 |
| Pages | 104-110 |
| Publication date | 2020-01-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Academic Medicine (JOURNAL) |
| Journal identifiers | ISSN: 1040-2446 • E-ISSN: 1938-808X |
| Publisher | Oxford University Press (OUP) (PUBLISHER) |
| DOI | 10.1097/acm.0000000000002867 |
| PMID | 31299036 |
| OpenAlex | W2956172095 |
| Language | EN |
| Citations received | 1 |
| References cited | 19 |
PURPOSE: To characterize the methods of inpatient consult communication, given new communication modalities; to explore residents' and fellows' perspectives on the ideal consult and how this consult could affect their teaching, learning, and patient safety; and to identify barriers to and strategies for optimizing consultations. METHOD: Using qualitative grounded theory, the authors conducted semistructured focus groups with pediatric residents and fellows at Lucile Packard Children's Hospital at Stanford University from October 2016 to September 2017, using questions developed by expert consensus to address study objectives. Sessions were audiorecorded and transcribed verbatim. Two authors independently coded the transcripts and reconciled codes to develop categories and themes using constant comparison. The third author validated the codes, categories, and themes. To ensure trustworthiness, participants edited the themes for accuracy. RESULTS: Twenty-seven residents and 16 fellows participated in 7 focus groups (3 with residents, 4 with fellows). Four themes emerged: (1) Many forms of communication are successfully used for initial inpatient consult recommendations (in person, phone, text messages, notes in electronic medical records); (2) residents and fellows prefer in-person communication for consults, believing it leads to improved teaching, learning, and patient safety; (3) multiple strategies can optimize consults regardless of communication modality; and (4) how residents frame the initial consult affects the interaction and can increase fellow engagement, which leads to more fellow teaching, residents' improved understanding, and better patient care. CONCLUSIONS: Residents and fellows believe that structured initial consults conducted in person improve teaching, learning, and patient care. Several strategies exist to optimize this process
Focus group · Grounded theory · Health care · Medical education · Modalities · Patient safety · Phone · Qualitative research · Trustworthiness · Healthcare Systems and Technology · Hospital Admissions and Outcomes · Medicine · Patient-Provider Communication in Healthcare · Psychology · Social Psychology
| Citations per year | 0.25 |
|---|---|
| Citation span | 2022 - 2022 (1) |
| Highly cited | No |